Financial intelligence built for offense, not defense

Midstream is an AI-powered financial action platform that turns data into real-time measurable margin.

Trusted by national healthcare leaders:
scaled Impact

$80B+

Net patient revenue

SPEED TO VALUE

90

Days, not weeks

24x7 Agentic Optimization

1,461+

Optimization opportunities

Healthcare data isn't just messy—it's incomplete

Midstream transforms the tempo of decision-making itself, compressing months to minutes and shifting from post-period hindsight to in-the-moment foresight.

Supply Chain

Providing supply chain leaders visibility into margin and how to capture it fast

Midstream created a foundation that connects contract pricing, rebates, and item master data into one system.

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Managed Care

Helping Managed Care leaders find value leakage and act on it instantly

Identify underpayments and detect material cost and operational variances that separate real issues
from routine fluctuations.

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Pharmacy

Enabling health systems to audit, reconcile, and connect 340B patient savings to service lines

Midstream brings its proven rebate expertise to 340B, helping health systems operationalize complexity with confidence.

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Optimized financial performance 24/7

Reduce costs, capture margin and discover ROI in minutes, not months

D a t a

One authoritative view of your financial data

Transform fragmented financial and contract data into a single, continuously validated source of truth, with proprietary datasets to fill critical gaps.

Uncover cost-saving margin opportunities in real time

Domain-trained AI agents continuously surface high-impact opportunities and prioritize what matters most, so your team focuses on capturing value before it slips away.

I M P A C T

Investigate and act. Instantly.

Validate opportunities through natural-language queries, real-time scenario planning, and complete document traceability so decision-makers can act, not just analyze.

A C T I O N

Midstream is different

  • Fill in the data gaps

    Midstream creates proprietary datasets and processes that make real-time financial intelligence possible.

  • Instant execution, not just analysis

    Every opportunity is verified and traceable back to source data, giving leaders the confidence to act with urgency.

  • Always-on visibility

    Constant awareness of where we capture value. A live pulse across vendor, payers, and supply chain contracts, surfacing what matters, when it matters.

  • Purpose-built for healthcare

    Midstream understands where healthcare margin lives—from rebate structure, and GPO compliance to payer contracts and 340B.

  • Offense, not defense

    Shift healthcare finance from reactive recovery to proactive optimization. Change when action happens.

  • Impact without disruption

    Fast deployment, faster results. Embed intelligence where teams already work. No heavy IT lift, no workflow disruptions, no multi-year implementation cycles.

  • Speed and return on effort

    Continuously learning, constantly optimizing. See measurable margin impact in days instead of quarters.

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